Our intelligent medical coding and auditing platform streamlines medical coding and auditing, improves documentation quality, optimizes funding, and enables data use beyond reimbursement.
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more efficient coding and auditing
more data quality improvement opportunities
pre-billing audit coverage
Increase Productivity
Reduce Denial Rates
Optimize Reimbursements
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Increase Data Quality
Unlock Pre-Bill Coverage
Improve Compliance
Medical Coding
Our platform reviews patient charts as they are created to identify the most relevant medical codes, providing a clear evidence trail within the documentation. Simple charts are automatically coded, while reviews of long and complex charts are streamlined significantly with patient summaries, code suggestions and all tools accessible in one interface.
Data Quality Auditing
Our platform audits your coded charts to determine whether assigned codes are supported by the clinical documentation. The platform then identifies missed or underspecified codes and directs auditors' review toward the exact location in the documentation requiring review.
Medical coding and auditing are the financial and operational backbone of every healthcare provider. But, the quality of market-leading software does not match the importance of the task. Unfortunately, it has left many providers using manual, error-prone, and expensive software to complete important coding and auditing work. We believe that our healthcare systems deserves better.
Our platform leverages NLP algorithms to parse clinical data and understand the specific clinical context. This means our platform can suggest appropriate codes & audit suggestions, and produce an evidence trail linked back to the documentation.
Other vendors typically use rules-based technology. This is when a developer sets up a list of keywords for their platform to search for in the clinical documentation. As a result, their tools can't understand the clinical context. The result? Lot's of incorrect suggestions for your coders and auditors to review.
Our intelligent medical coding and auditing platform offers Humber River Hospital coders and auditors with the additional support they need to boost efficiency and ensure data quality.
Our AI powered medical coding and auditing platform integrates directly with the hospital's EMR to ingest the clinical documentation and start offering (1) autocoding suggestions and then (2) AI audit suggestions. All suggestions are linked directly to the documentation in one user interface, so that HIM professionals can do their work faster and without having to consult multiple sources.
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Semantic Health offers Canadian hospitals an AI-powered health information management platform that auto-suggests codes and reviews 100% of coded data.
Tell me moreSemantic Health offers American hospitals and health systems a supercharged auditing platform that automates the secondary review of 100% of claims data.
Tell me moreContact us to set up a demo of our platform with one of our friendly enterprise account executives.
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